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    DO REGIONAL PRIMARY-CARE ORGANISATIONS INFLUENCE PRIMARY-CARE PERFORMANCE? A DYNAMIC PANEL ESTIMATION

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    Author
    Scott, A; Coote, W
    Date
    2010-06-01
    Source Title
    HEALTH ECONOMICS
    Publisher
    WILEY
    University of Melbourne Author/s
    Scott, Anthony
    Affiliation
    Melbourne Institute of Applied Economic and Social Research
    Metadata
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    Document Type
    Journal Article
    Citations
    Scott, A. & Coote, W. (2010). DO REGIONAL PRIMARY-CARE ORGANISATIONS INFLUENCE PRIMARY-CARE PERFORMANCE? A DYNAMIC PANEL ESTIMATION. HEALTH ECONOMICS, 19 (6), pp.716-729. https://doi.org/10.1002/hec.1509.
    Access Status
    This item is currently not available from this repository
    URI
    http://hdl.handle.net/11343/30444
    DOI
    10.1002/hec.1509
    Abstract
    The role of regional primary-care organizations (PCOs) in health-care systems is not well understood. This is the first study to attempt to isolate the effect of regional PCOs on primary-care performance. We examine Divisions of General Practice in Australia, which were established in 1992. A unique Division-level panel data set is used to examine the effect of Divisions, and their activities, on various aspects of primary-care performance. Dynamic panel estimation is used to account for state dependence and the endogeneity of Divisions' activities. The results show that Divisions were more likely to have influenced general practice infrastructure than clinical performance in diabetes, asthma and cervical screening. The effect of specific Division activities, such as providing support for practice nurses and IT support, was not directly related to changes in the level of general practice performance. Specific support in the areas of diabetes and asthma was associated with general practice performance, but this was due to reverse causality and the effect of unobservable factors, rather than the direct effect of Divisions.
    Keywords
    Applied Economics

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